Change of Address Request

Please use the form below to provide us with your current/previous and new address information.

Please allow up to 48 hours for your address change to be updated in our systems.

Personal/Contact Information

Do you want to change the address of any additional joint signers?*

If Yes, list the names and Social Security numbers below:

Current/Previous Address*

New Address (physical address ¡V no PO boxes)*

Is the mailing address the same as the physical address?*

If No, list the complete address below (Required):

New Mailing Address

Is your new address seasonal/temporary?*

If Yes, please provide information below:

Do you want to change your address on all accounts (SDBs, loans, deposits, etc.)?*

If No, please list the accounts you would like the new address applied to:

Additional Heritage Bank Products

Do you have Online Banking with Bill Pay?*

Are you a Heritage Financial Corporation Shareholder?*

Do you have a Heritage Bank Credit Card?*

Do you have a Heritage Wealth Management account?*

Date

* Required Information
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